Remote Benefits Verification Specialist | Patient Access

Spectraforce Technologies, Inc.; Raleigh (NC); A distancia; USD 25.000 - 41.000; Jornada completa

Descripción de la vacante

Spectraforce Technologies, Inc. is seeking a Benefits Verification Specialist to verify patient benefits by contacting insurance companies.

The role involves documenting coverages, cost shares, and access options while coordinating with internal teams to resolve any missing information. Under supervision, you will handle prior authorizations and related duties, ensuring accurate data entry and timely processing in a remote, contract-based setting lasting 3+ months.

Formación

• High school diploma or GED required; 2+ years directly related and progressively responsible experience preferred.
• A two-year associate's degree can substitute for two years of experience.
• Experience with Windows-based data entry, typing, and standard software is expected.

Responsabilidades

• Review patient insurance information to complete benefit verification.
• Triages cases with missing information to appropriate program associate.
• Verify patient benefits and document specifics for payer plans (coverage, cost share, access).
• Identify restrictions and ways to expedite patient access.
• Document and initiate prior authorization, claims appeals, etc.
• Perform quality review of work before finalizing records.
• Report reimbursement trends/delays to management.
• Handle related duties and special projects as assigned.

Conocimientos

Data entry

Outlook

Word

Excel

Interpersonal skills

Problem solving

Attention to detail

Communication

Insurance verification familiarity

Customer service

Educación

High school diploma or GED

Two-year associate's degree or equivalent

Descripción del empleo

Spectraforce Technologies, Inc. is seeking a Benefits Verification Specialist to verify patient benefits by contacting insurance companies.

The role involves documenting coverages, cost shares, and access options while coordinating with internal teams to resolve any missing information. Under supervision, you will handle prior authorizations and related duties, ensuring accurate data entry and timely processing in a remote, contract-based setting lasting 3+ months.